Validation of the traditional Chinese version of the Sinus and Nasal Quality of Life Survey (SN-5) for children
Background: Persistent sinonasal symptoms are common in children with chronic rhinosinusitis. The Sinus and Nasal Quality of Life (QoL) Survey (SN-5) was the first validated questionnaire measuring sinonasal-related QoL in populations aged 2–12 years. No norm has been established for Chinese-speakin...
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Elsevier
2022-07-01
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| Series: | Pediatrics and Neonatology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1875957222000900 |
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| author | Wan-Yu Lai David J. Kay Chang-Ching Wei Fen-Wei Huang Kai-Li Liang Hung-Rong Yen |
| author_facet | Wan-Yu Lai David J. Kay Chang-Ching Wei Fen-Wei Huang Kai-Li Liang Hung-Rong Yen |
| author_sort | Wan-Yu Lai |
| collection | DOAJ |
| description | Background: Persistent sinonasal symptoms are common in children with chronic rhinosinusitis. The Sinus and Nasal Quality of Life (QoL) Survey (SN-5) was the first validated questionnaire measuring sinonasal-related QoL in populations aged 2–12 years. No norm has been established for Chinese-speaking countries. We translated the SN-5 into traditional Chinese and evaluated validity and reliability. Methods: From December 2016 to December 2017, healthy volunteers and children with persistent sinonasal symptoms were enrolled. Guardians of the participants completed the SN-5, a visual analog scale (VAS) of nasal symptoms, and the Obstructive Sleep Apnea-18 (OSA-18); the responses were used to assess internal consistency, discriminant validity, and treatment responsiveness. A nontreatment group was administered the SN-5 1 week later to assess test–retest reliability. Results: We recruited 31 healthy volunteers and 85 children with rhinosinusitis, 50 and 35 in the treatment and nontreatment groups, respectively. The SN-5 demonstrated good internal consistency (Cronbach's α = 0.86) and test–retest reliability (0.74, p < 0.01). It exhibited good discriminant validity between the healthy and rhinosinusitis groups (p < 0.001). The SN-5 scores were correlated with the VAS scores (0.63, p < 0.001). The effect size of the SN-5 scores was 0.51. The total SN-5 and OSA-18 scores changed significantly after 4-week treatment (p < 0.05) and demonstrated good responsiveness. The SN-5 and OSA-18 scores were significantly and positively correlated (r2 = 0.53, p < 0.001). Conclusion: Our traditional Chinese version of the SN-5 is reliable and valid for measuring sinonasal-related QoL in children in Chinese-speaking countries. Trial registration number: NCT04836403. |
| format | Article |
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| issn | 1875-9572 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | Elsevier |
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| series | Pediatrics and Neonatology |
| spelling | doaj-art-d0161563d73f4ff29df6c839ac85e2142025-08-20T02:20:03ZengElsevierPediatrics and Neonatology1875-95722022-07-0163441041710.1016/j.pedneo.2022.01.008Validation of the traditional Chinese version of the Sinus and Nasal Quality of Life Survey (SN-5) for childrenWan-Yu Lai0David J. Kay1Chang-Ching Wei2Fen-Wei Huang3Kai-Li Liang4Hung-Rong Yen5Department of Chinese Medicine, China Medical University Hospital, Taichung, 404327, Taiwan; School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, 404328, TaiwanCenter for Pediatric ENT–Head and Neck Surgery, Boynton Beach, FL, 33437, USA; University of Miami Leonard M. Miller School of Medicine, Miami, FL, 33136, USA; Nova Southeastern University College of Osteopathic Medicine, Davie, FL, 33328, USA; Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, FL, 33431, USA; Keiser University, Fort Lauderdale, FL, 33309, USA; Kansas City University of Medicine and Bioscience, Kansas City, MO, 64106, USADepartment of Pediatrics, China Medical University Children's Hospital, Taichung, 404327, Taiwan; School of Medicine, College of Medicine, China Medical University, Taichung, 404328, TaiwanDepartment of Medical Research, China Medical University Hospital, Taichung, 404327, TaiwanDepartment of Otolaryngology, Taichung Veterans General Hospital, Taichung, 407219, Taiwan; School of Medicine, College of Medicine, National Yang-Ming Chiao Tung University, Taipei, 112304, Taiwan; Corresponding author. Department of Otolaryngology, Taichung Veterans General Hospital, 1650, Section 4, Taiwan Avenue, Xitun District, Taichung, 407219, Taiwan.Department of Chinese Medicine, China Medical University Hospital, Taichung, 404327, Taiwan; School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, 404328, Taiwan; Chinese Medicine Research Center, China Medical University, Taichung, 404328, Taiwan; Research Center for Traditional Chinese Medicine, China Medical University Hospital, Taichung, 404327, Taiwan; Department of Laboratory Science and Biotechnology, Asia University, 413305, Taiwan; Corresponding author. School of Chinese Medicine, College of Chinese Medicine, China Medical University, 91 Hsueh-Shih Road, North District, Taichung, 404328, Taiwan.Background: Persistent sinonasal symptoms are common in children with chronic rhinosinusitis. The Sinus and Nasal Quality of Life (QoL) Survey (SN-5) was the first validated questionnaire measuring sinonasal-related QoL in populations aged 2–12 years. No norm has been established for Chinese-speaking countries. We translated the SN-5 into traditional Chinese and evaluated validity and reliability. Methods: From December 2016 to December 2017, healthy volunteers and children with persistent sinonasal symptoms were enrolled. Guardians of the participants completed the SN-5, a visual analog scale (VAS) of nasal symptoms, and the Obstructive Sleep Apnea-18 (OSA-18); the responses were used to assess internal consistency, discriminant validity, and treatment responsiveness. A nontreatment group was administered the SN-5 1 week later to assess test–retest reliability. Results: We recruited 31 healthy volunteers and 85 children with rhinosinusitis, 50 and 35 in the treatment and nontreatment groups, respectively. The SN-5 demonstrated good internal consistency (Cronbach's α = 0.86) and test–retest reliability (0.74, p < 0.01). It exhibited good discriminant validity between the healthy and rhinosinusitis groups (p < 0.001). The SN-5 scores were correlated with the VAS scores (0.63, p < 0.001). The effect size of the SN-5 scores was 0.51. The total SN-5 and OSA-18 scores changed significantly after 4-week treatment (p < 0.05) and demonstrated good responsiveness. The SN-5 and OSA-18 scores were significantly and positively correlated (r2 = 0.53, p < 0.001). Conclusion: Our traditional Chinese version of the SN-5 is reliable and valid for measuring sinonasal-related QoL in children in Chinese-speaking countries. Trial registration number: NCT04836403.http://www.sciencedirect.com/science/article/pii/S1875957222000900childrenquality of liferhinosinusitistraditional Chinese versionvalidated SN-5 questionnaire |
| spellingShingle | Wan-Yu Lai David J. Kay Chang-Ching Wei Fen-Wei Huang Kai-Li Liang Hung-Rong Yen Validation of the traditional Chinese version of the Sinus and Nasal Quality of Life Survey (SN-5) for children Pediatrics and Neonatology children quality of life rhinosinusitis traditional Chinese version validated SN-5 questionnaire |
| title | Validation of the traditional Chinese version of the Sinus and Nasal Quality of Life Survey (SN-5) for children |
| title_full | Validation of the traditional Chinese version of the Sinus and Nasal Quality of Life Survey (SN-5) for children |
| title_fullStr | Validation of the traditional Chinese version of the Sinus and Nasal Quality of Life Survey (SN-5) for children |
| title_full_unstemmed | Validation of the traditional Chinese version of the Sinus and Nasal Quality of Life Survey (SN-5) for children |
| title_short | Validation of the traditional Chinese version of the Sinus and Nasal Quality of Life Survey (SN-5) for children |
| title_sort | validation of the traditional chinese version of the sinus and nasal quality of life survey sn 5 for children |
| topic | children quality of life rhinosinusitis traditional Chinese version validated SN-5 questionnaire |
| url | http://www.sciencedirect.com/science/article/pii/S1875957222000900 |
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